Implementing a working together model for Aboriginal patients with acute coronary syndrome: an Aboriginal Hospital Liaison Officer and a specialist cardiac nurse working together to improve hospital care Daws, Karen, Punch, Amanda, Winters, Michelle, Posenelli, Sonia, Willis, John, MacIsaac, Andrew, Rahman, Muhammad Aziz and Worrall-Carter, Linda 2014, Implementing a working together model for Aboriginal patients with acute coronary syndrome: an Aboriginal Hospital Liaison Officer and a specialist cardiac nurse working together to improve hospital care, Australian health review, vol. 38, no. 5, pp. 552-556, doi: 10.1071/AH13211. Attached Files Name Description MIMEType Size Downloads rahman-implementingaworking-2014.pdf Published version application/pdf 270.62KB 4 Title Implementing a working together model for Aboriginal patients with acute coronary syndrome: an Aboriginal Hospital Liaison Officer and a specialist cardiac nurse working together to improve hospital care Author(s) Daws, Karen Punch, Amanda Winters, Michelle Posenelli, Sonia Willis, John MacIsaac, Andrew Rahman, Muhammad Aziz orcid.org/0000-0003-1665-7966 Worrall-Carter, Linda Journal name Australian health review Volume number 38 Issue number 5 Start page 552 End page 556 Total pages 5 Publisher CSIRO Publishing Place of publication Clayton, Vic. Publication date 2014-11 ISSN 0156-5788 Keyword(s) Acute Coronary Syndrome Cooperative Behavior Hospital Administrators Humans Medical Audit Models, Theoretical Nurse Clinicians Nursing Staff, Hospital Oceanic Ancestry Group Quality Improvement Quality of Health Care Retrospective Studies Tertiary Care Centers Victoria Summary Acute coronary syndrome (ACS) contributes to the disparity in life expectancy between Aboriginal and non-Aboriginal Australians. Improving hospital care for Aboriginal patients has been identified as a means of addressing this disparity. This project developed and implemented a working together model of care, comprising an Aboriginal Hospital Liaison Officer and a specialist cardiac nurse, providing care coordination specifically directed at improving attendance at cardiac rehabilitation services for Aboriginal Australians in a large metropolitan hospital in Melbourne. A quality improvement framework using a retrospective case notes audit evaluated Aboriginal patients' admissions to hospital and identified low attendance rates at cardiac rehabilitation services. A working together model of care coordination by an Aboriginal Hospital Liaison Officer and a specialist cardiac nurse was implemented to improve cardiac rehabilitation attendance in Aboriginal patients admitted with ACS to the cardiac wards of the hospital. A retrospective medical records audit showed that there were 68 Aboriginal patients admitted to the cardiac wards with ACS from 1 July 2008 to 30 June 2011. A referral to cardiac rehabilitation was recorded for 42% of these. During the implementation of the model of care, 13 of 15 patients (86%) received a referral to cardiac rehabilitation and eight of the 13 (62%) attended. Implementation of the working together model demonstrated improved referral to and attendance at cardiac rehabilitation services, thereby, has potential to prevent complications and mortality. WHAT IS KNOWN ABOUT THE TOPIC?: Aboriginal Australians experience disparities in access to recommended care for acute coronary syndrome. This may contribute to the life expectancy gap between Aboriginal and non-Aboriginal Australians. WHAT DOES THIS PAPER ADD?: This paper describes a model of care involving an Aboriginal Hospital Liaisons Officer and a specialist cardiac nurse working together to improve hospital care and attendance at cardiac rehabilitation services for Aboriginal Australians with acute coronary syndrome. WHAT ARE THE IMPLICATIONS FOR PRACTITIONERS?: The working together model of care could be implemented across mainstream health services where Aboriginal people attend for specialist care. Language eng DOI 10.1071/AH13211 Field of Research 111701 Aboriginal and Torres Strait Islander Health 1117 Public Health And Health Services 1605 Policy And Administration 1110 Nursing Socio Economic Objective 920303 Aboriginal and Torres Strait Islander Health - Health System Performance HERDC Research category C1.1 Refereed article in a scholarly journal ERA Research output type C Journal article Copyright notice ©2014, AHHA Free to Read? Yes Use Rights Persistent URL http://hdl.handle.net/10536/DRO/DU:30083583 Document type: Journal Article Collections: School of Medicine Open Access Collection Related Links Link Description Connect to published version Go to link with your DU access privileges   Connect to Elements publication management system Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au. Versions Version Filter Type Fri, 20 May 2016, 13:58:08 EST Fri, 20 May 2016, 14:46:02 EST Fri, 10 Mar 2017, 05:03:14 EST Fri, 24 Mar 2017, 13:24:42 EST Fri, 24 Mar 2017, 13:27:12 EST Fri, 24 Mar 2017, 13:28:24 EST Fri, 07 Apr 2017, 10:50:32 EST Filtered Full Citation counts:   Cited 1 times in TR Web of Science Cited 0 times in Scopus Search Google Scholar Access Statistics: 28 Abstract Views, 4 File Downloads  -  Detailed Statistics Created: Fri, 20 May 2016, 13:58:08 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.